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I agree there must be more to the story, certainly there isn't an epidemic of hook worms on the island that the general public hasn't caught wind of. They must have been walking barefoot in some remote area...who knows

friend of mine is a germaphope and travels to the Caribbean regularly with his family. caught wind of this story and talked to his doctor, and anyone else he thought would know about the story. turns out it's actually not a rare occurrence, not common but people do get it. people in the story had an extreme case, not sure why. for 99% of the people who would get this, they wouldn't know they had it. it would be a few small red spots that may itch for a while, may be mistaken for a bug bite or a rash, and would naturally disappear without medication. the folks in the story were like the 1% of the 1% of folk who would get infected. buddy was told not to worry about it.

THIS BUG OR WORM IS FOUND IN FRESH WATER OUT FLOWS FROM STREAMS AND RIVERS , WHEN THEY MEET THE OCEAN AND ARE BLOCKED BY A SAND BARS AND TIDES TEND TO CREATE POOLS OF WATER THAT ALLOW THESE WORMS AND BACTERIA TO GROW IF YOU WALK THROUGH THESE POOLS AND HAVE ANY OPEN CUTS ON YOUR FEET LOOK OUT!

That infection was from roundworm also called hookworm which is a parasite in an animal's intestine which goes out of the body in the feces, so try not to step in dog shit while walking around barefoot. Gotta be nuts to walk Sosua beach barefoot anyway. People were saying it was from sand flees which was incorrect.